Table of Content

15 May 2024, Volume 21 Issue 5 Previous Issue    Next Issue

Research Paper

Select

Construction and application of a training program for nurses in robotic-assisted surgery BAI Yashuang, ZHANG Zengmei, LI Shengyun, JIN Zi, ZHANG Shuli 2024, 21 (5):  517-524.  doi: 10.3761/j.issn.1672-9234.2024.05.001 Abstract ( 520 )   HTML ( 2 )   PDF (1211KB) ( 11 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop a training program for nurses to assist in robotic-assisted surgery and explore its application effect. Methods The initial draft of the training program for nurses assisting in robotic-assisted surgery was constructed based on literature review and semi-structured interviews. From February to April 2022，a total of 26 experts were consulted through two rounds of expert consultation to finalize the training program. In application，32 operating room nurses who received training in robotic-assisted surgery cooperation in a tertiary hospital from April to July 2022 were assigned to the control group，while another 32 operating room nurses who received similar training in the same hospital from August to November 2022 were assigned to the experimental group. The control group received routine training，while the experimental group received training based on the training program for nurses assisting in robotic-assisted surgery. The training effects of the two groups were compared afterward. Results The effective recovery rate of the questionnaires for the two rounds of expert consultation was 100%. The expert authority coefficient was 0.933，and the Kendall’s coordination coefficient was 0.261 and 0.312（P<0.001），respectively. The final training program for nurses assisting in robotic-assisted surgery consisted of six modules and 85 sub-items. After the training，the experimental group performed better than the control group in terms of theoretical assessment scores，installation time of the robotic-assisted surgery system’s sterile hood，calibration time for endoscopic operations using the robotic-assisted surgery system，operation time for robotic-assisted surgery system positioning，first-attempt success rate for robotic-assisted surgery system positioning，and assessment scores for preoperative lithotomy position placement using the robotic-assisted surgery system （all P<0.05）. Conclusion The development of the training program for nurses assisting in robotic-assisted surgery is scientific and reliable. In application it is helpful to improve nurses’ knowledge and skills in assisting robotic-assisted surgery and enhance the training effect.

Construction of

Select

Review and prospect of the construction of “double-qualified” nursing teachers TAN Jing, MA Yuanyuan, ZHU Jingci 2024, 21 (5):  525-531.  doi: 10.3761/jissn.1672-9234.2024.05.002 Abstract ( 525 )   HTML ( 2 )   PDF (1088KB) ( 9 )   Save References | Related Articles | Metrics The establishment of “double-qualified” nursing teachers represents a pivotal stride towards accomplishing the goal of training top-tier nursing personnel and advancing the high-quality nursing education. This paper delved into policy documents，elucidated the research and development of “double-qualified” teachers in China in recent years，and meticulously scrutinized the challenges inherent in the identification criteria，degree of importance，and the cultivation mechanism of these educators in the field of nursing. Subsequently，relevant suggestions were put forward to further improve the “double-qualified” nursing teacher’s identification criteria and implementation rules，to fortify the organizational leadership and management，and to strengthen the incentives，training，and assessment and evaluation mechanism research. It is proposed to provide references for the cultivation of high-level applied and compound nursing talents.

Select

Construction of the core competency index system for “double-qualified” midwifery teachers in undergraduate colleges ZHANG Mingna, QI Yi, LI Qiuxue, GUO Li, LIU June, LIU Weiwei 2024, 21 (5):  532-537.  doi: 10.3761/j.issn.1672-9234.2024.05.003 Abstract ( 162 )   HTML ( 0 )   PDF (1119KB) ( 6 )   Save Figures and Tables | References | Related Articles | Metrics Objective To construct a core competency index system for “double-qualified” midwifery teachers in undergraduate colleges. Methods Based on literature research，a draft of the core competency index system for “double-qualified” midwifery teachers in undergraduate colleges was firstly drafted. From April to May 2023，two rounds of consultation were conducted with 15 experts to establish the core competency indicator system. Results The effective recovery rate of the two rounds of expert consultation was 100%. The expert authority coefficient was 0.94，the Kendall’s coefficient of concordance was 0.359 and 0.394（both P<0.001），respectively. The final core competency index system for “double-qualified” midwifery teachers in undergraduate colleges consisted of five first-level indicators，16 second-level indicators，and 51 third-level indicators. Conclusion The construction process of the core competency index system for “double-qualified” midwifery teachers at undergraduate colleges is scientific and reliable，which can provide a basis for the selection，training，and evaluation of “dual-qualification” midwifery teachers in undergraduate colleges in China.

Select

Concept analysis of “double-qualified” nursing teachers LIU Qianwen, LIU Ying, ZHONG Hua, CHEN Hong 2024, 21 (5):  538-542.  doi: 10.3761/j.issn.1672-9234.2024.05.004 Abstract ( 280 )   HTML ( 0 )   PDF (790KB) ( 9 )   Save References | Related Articles | Metrics Objective To analyze the concept of “double-qualified” nursing teachers，in order to provide references for the construction of a high-level “double-qualified” nursing teacher team. Methods Databases were searched systematically，including PubMed，Web of Science，Embase，CNKI，SinoMed，VIP and Wanfang database. Literature on “double-qualified” nursing teachers was screened，and analyzed using Rodgers’ evolutionary concept analysis as a theoretical framework. Results A total of 36 articles were included with 32 in Chinese and 4 in English. The concept attributes of “double-qualified” nursing teachers included the combination of educational teaching ability and nursing professional practice ability，and the combination of educational professionalism and nursing professionalism；the antecedent was the gap between the teaching content and the actual clinical nursing care；and the outcomes were mainly to improve the effect of nursing teaching and to promote the role adaptation of graduate nursing students. Conclusion This paper adopts Rodgers’ evolutionary conceptual analysis to identify the conceptual attributes，antecedents and outcomes of “double-qualified” nursing teachers，which provide a certain theoretical basis for the subsequent accession，training，assessment and other work of “double-qualified” nursing teachers. Additionally，the paper also contributes to the construction of a high-level “double-qualified” nursing teacher team.

Select

Research on the exploration and practice of “double-qualified” nursing undergraduate teachers TIAN Li, WU Mengru, ZHANG Jiyin, GUO Daoxia, SHAN Shengnan, LI Huiling 2024, 21 (5):  543-546.  doi: 10.3761/j.issn.1672-9234.2024.05.005 Abstract ( 210 )   HTML ( 0 )   PDF (761KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics In the background of Healthy China，strengthening the construction of a “double-qualified” nursing undergraduate teachers is the foundation for cultivating outstanding nursing talents. The School of Nursing at Soochow University has established a “double-qualified” faculty pool and optimized the selection and deployment process by strictly setting admission conditions for the “four certificates”. In addition，attention has been paid to the continuous development of the teaching staff，the integrated pre service and post service training and development system. Still，a management mechanism of survival of the fittest has been established by setting up diversified incentive measures，and ensuring the vitality and competitiveness of the teaching staff. This effective experience can provide new ideas and references for the construction of a “double-qualified” teaching team in nursing majors in other universities.

Select

The construction of “dual-qualified” faculty in higher vocational colleges of medicine and health WANG Wenjie, XUE Mei 2024, 21 (5):  547-551.  doi: 10.3761/j.issn.1672-9234.2024.05.006 Abstract ( 156 )   HTML ( 0 )   PDF (861KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics The construction of a “dual-qualified” faculty is an important foundation of professional development and a key force supporting the reform of education and teaching. Building a “dual-qualified” faculty is a fundamental work to accelerate the modernization of vocational education. Through literature review and based on the findings of previous study，this article analyzed the demand for teachers，technology and clinical thinking in cultivating medical and health professionals. The problems included imperfect “dual-qualified” faculty and insufficient training system and lacking of evaluation and incentive mechanisms. A path for the construction of a “dual-qualified” faculty is proposed which include deepening the collaboration between medical and educational institutions to set up a team building platform，constructing a systematic training system，and establishing a “dual-qualified” oriented evaluation and reward mechanism.

Select

Analysis of research hot spots and trends in the training of “double-qualified” nursing teachers LI Juanjuan, XIAO Wenyi, LI Li, ZHANG Miao, WANG Lijuan, GE Yurong 2024, 21 (5):  552-556.  doi: 10.376l/j.issn.1672-9234.2024.05.007 Abstract ( 217 )   HTML ( 3 )   PDF (814KB) ( 6 )   Save Figures and Tables | References | Related Articles | Metrics Objective To understand the current research status，hotspots，and development trends of “dual-qualified” teacher training in nursing. Methods Databases were searched to retrieve domestic and foreign literature on the training of “dual-qualified” teachers in nursing，including CNKI，Wanfang Data，VIP，China Biomedical Literature Database，and PubMed. The searching period was set from 2004 to 2023. CiteSpace 6.2.R6 software was used to analyze the number of publications，keyword frequencies，and keyword bursts. Results A total of 389 articles were included，with 128 published by domestic scholars and 261 by foreign scholars. The annual publication volume of research on the training of "dual-qualified" teachers in nursing at home and abroad showed an overall upward trend from 2004 to 2023. The research hotspots of “dual-qualified” teacher training in nursing at home and abroad were mainly focused on the core abilities of “dual-qualified” teachers，training systems and evaluation methods，training models （school-enterprise cooperation and industry-education integration），and policy support. Conclusion The research in the field of “dual-qualified” teacher training at home and abroad is in a stage of rapid development，with diversified research hotspots. In the future，Chinese scholars and administrators can establish differentiated，quantitative and qualitative combined evaluation criteria based on the sources，types，and levels of “dual-qualification” teachers in nursing. Additionally，educators should establish different certification standards for full-time and part-time teachers，and create an exit mechanism and a fair and diversified incentive mechanism for “dual-qualification” teachers in nursing. Still，efforts should be devoted to expand the coverage of the training system to include pre-employment education，induction training，etc，thereby improving the quality and effect of “dual-qualification” teacher training in nursing.

Nursing Education

Select

An investigation on the learning approaches of nursing undergraduates in the blended learning SUN Yumei, ZHOU Qiang, YE Minghui, SUN Hongyu, ZHAO Guodong 2024, 21 (5):  557-561.  doi: 10.3761/j.issn.1672-9234.2024.05.008 Abstract ( 188 )   HTML ( 0 )   PDF (706KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the characteristics of the deep and surface learning approaches of nursing undergraduates in blended learning，so as to provide a reference for improving the teaching design and improving the teaching effect. Methods The learning approaches of 3 841 students from 11 colleges and universities in the blended courses through convenient sampling were measured using the Revise Two-factor Study Process Questionnaire（R-SPQ-2F）. Results The median scores of the 3 841 students were 33（30，38） in deep learning and 28（23，31） in surface learning. The majority of students’ deep learning scores were at middle and high levels（53.8% and 40.1% respectively），while the majority of students’ surface learning scores displayed middle and low levels（53.7% and 31.5% respectively）. The non-parametric median test disclosed a statistically significant difference（P<0.01） in students’ deep and surface learning scores among different institutions and courses. Spearman’s correlation analysis showed that deep learning did not have a relationship with homework volume（P>0.05），but exhibited a negative correlation with course difficulty（P<0.05） and positive correlations with learning outcomes and satisfaction（P<0.01）. On the other hand，surface learning was not associated with homework volume or course difficulty（P>0.05） and instead presented negative correlations with both learning outcomes and satisfaction（P<0.01）. Conclusion Nursing undergraduates in blended courses are more likely to use deep learning，while surface learning also has its positive significance. Teachers should pay attention to students’ learning experience，stimulate their motivation to learn，and appropriately adopt different learning approaches to achieve the best learning effect.

Select

The learning experience of undergraduates participating in the Midwifery Comprehensive Experiment course based on situational simulation teaching ZHU Xiaoling, CHEN Shaohua, LIN Binbin, WANG Xiaoyan, XU Guiru, XU Qin, QIU Pingping, LIN Xiaoyun, SONG Jihong 2024, 21 (5):  562-568.  doi: 10.3761/j.issn.1672-9234.2024.05.009 Abstract ( 155 )   HTML ( 0 )   PDF (1315KB) ( 8 )   Save Figures and Tables | References | Related Articles | Metrics Objective To understand the learning experience of undergraduates participating in the Midwifery Comprehensive Experiment course based on situational simulation teaching，and to provide reference for teaching reform of the course. Methods The situational simulation teaching activity of Midwifery Comprehensive Experiment course with 45 credit hours was implemented from February 2022 to June 2022 for 52 undergraduate students majoring in midwifery of grade 2019. In June 2023，focus group interviews were conducted after students completing the 44-week clinical internship. Thematic analysis method was conducted to analyze the data. Results Two themes about students’ learning experience were extracted. ①The sense of achievement from professional growth:through learning the course，students had established systematic clinical and scientific research thinking，improved team cooperation，strain and communication skills，enhanced professional confidence，and gained professional growth. ②Helplessness in the face of learning difficulties:facing the lack of unified procedures，operating standards，learning summary materials，etc.，students inclined to depend on "authority and constraints"，observed that there was an unbridled "gap" between theory and practice，and felt the helpless of learning difficulties such as "incomplete learning" of specialized knowledge. Conclusion The Midwifery Comprehensive Experiment course based on situational simulation teaching can enhance the self-confidence of students，promote their professional growth，therefore highly recognized by the sutdents. However，there are also difficulties to be solved，which put forward higher requirements for the teaching team of midwifery.

Select

Application of PAD class teaching model in Internal Medicine Nursing course from the perspective of deep learning MIN Gui, DENG Yuan, QI Wenyan 2024, 21 (5):  569-573.  doi: 10.3761/j.issn.1672-9234.2024.05.010 Abstract ( 162 )   HTML ( 0 )   PDF (837KB) ( 5 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the application effect of PAD class teaching model under the perspective of deep learning in the teaching of internal medicine nursing course. Methods From February 2023 to June 2023，120 second-year nursing students from two classes at a higher education institution in Jiangxi Province were selected as research subjects using a convenience sampling method. These students then were divided into an experimental group and a control group according to the class，with 60 students in each. The experimental group adopted a deep learning-informed PAD class teaching model，which included five phases:pre-class preparation，teaching new content，individual study，classroom discussion，and post-class reflection. The control group adopted the traditional teaching model，with a primary focus on teacher-led instruction. Results After the intervention，the experimental group scored higher than the control group in deep learning ability（131.50±11.56 vs. 122.07±20.60；t=3.093，P=0.003），and theoretical score higher than the control group（78.95±9.01 vs. 71.82±12.99；t=3.495，P<0.001）. Conclusion The PAD class teaching model under the perspective of deep learning can enhance students’ deep learning abilities and academic performance，contributing to improving teaching quality.

Continuing Education

Select

Analysis of risk factors for nursing interruption events during the surgical counts GUO Dong, FU Xiurong, LI Heng 2024, 21 (5):  574-579.  doi: 10.3761/j.issn.1672-9234.2024.05.011 Abstract ( 346 )   HTML ( 1 )   PDF (694KB) ( 10 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate and analyze the current situation and risk factors of nursing interruptions during the process of surgical counts，and provide empirical evidence for targeted preventive measures. Methods Based on convenient sampling method，operations performed in a Class III general hospital in Shanxi Province from June 2022 to October 2022 were selected as the observation objects. The self-developed questionnaire of Nursing Interruption Events in the Counting of Surgical Items was used in data collection，and the risk factors for nursing interruptions during surgical counting sessions were analyzed. Results A total of 385 operations were eventually included，in which 244（63.4%） had nursing interruptions during the inventory of counts. Logistic regression analysis showed that the number of surgeons，surgery duration，surgeries of multi-surgical combination，emergency surgery，experience of circulating nurses，and education of scrub nurse were the independent risk factors for nursing interruptions during the inventory of counts. Conclusion The process of counting surgical items is influenced by various risk factors. Early identification and evaluation of these indicators is helpful in reducing nursing interruption events and maintain patient safety.

Select

The reliability and validity of the Chinese version of Multidimensional Nursing Generations Questionnaire GAO Xiao, WEI Lili, ZHOU Haiqing, GONG Hui, SUN Yaru, GU Ruting 2024, 21 (5):  580-586.  doi: 10.3761/j.issn.1672-9234.2024.05.012 Abstract ( 148 )   HTML ( 0 )   PDF (885KB) ( 7 )   Save Figures and Tables | References | Related Articles | Metrics Objective To translate the Multidimensional Nursing Generations Questionnaire（MNGQ） into Chinese and assess its reliability and validity. Methods After obtaining authorization from the original author，the MNGQ got translated and back-translated according to the Brislin classic model. Following cross-cultural adjustments and a pre-survey, the Chinese version of the MNGQ was formed. From January to March 2023, 492 clinical registered nurses from seven tertiary comprehensive hospitals in Shandong Province were selected as research participants through convenience sampling. They were surveyed using a general information questionnaire and the Chinese version of the MNGQ and thirty nurses were invited for retest two weeks after the first survey to evaluate its reliability and validity. Results The Chinese version of the MNGQ consisted of six dimensions, namely conflicts between generations，patient safety view, relationships issues between generations, multi-generation teamwork, orientation to change and work propensity，with a total of 45 items. The Cronbach’s α coefficient index of the questionnaire was 0.943, and the test-retest reliability was 0.764. The item-level content validity index ranged from 0.80 to 1.00，and the scale-level content validity index was 0.91. Exploratory factor analysis extracted six common factors with a cumulative variance contribution rate of 64.977%. The results of confirmatory factor analysis showed good fit, with indicator of χ2/df=2.552, RMSEA=0.045, SRMR=0.046, CFI=0.934, TLI=0.929, and IFI=0.934. The average variance extracted（AVE） for each dimension was greater than 0.500，and the composite reliability(CR) values for each dimension were greater than 0.700. The square roots of the AVE for each dimension were greater than the correlation coefficients between that dimension and other dimensions. Conclusion The MNGQ exhibits good reliability and validity, which can be deemed as an important tool for understanding the perspectives and beliefs of nurses from different generations in China for assessing their characteristic differences.

Health Education

Select

Application and effect evaluation of exercise nursing program for patients with type 2 diabetes ZHENG Guanglei, ZHAO Yaning, ZHANG Wei, GU Xiaoying 2024, 21 (5):  587-592.  doi: 10.3761/j.issn.1672-9234.2024.05.013 Abstract ( 365 )   HTML ( 1 )   PDF (950KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective Through constructing and implementing the exercise intervention program for diabetes patients to evaluate the impact of the program on exercise self-efficacy，self-management and blood sugar of type 2 diabetes patients. Methods Through literature review and expert consultation，the exercise intervention program for diabetes patients was constructed. From January to March 2022，100 inpatients from the endocrinology department of a tertiary Grade A hospital were recruited as the research participants by convivence sampling. The experimental group was given the constructed exercise intervention program，while the control group got a routine exercise intervention for 12 weeks. The exercise self-efficacy，self-management ability，fasting blood glucose，and glycated hemoglobin of the two groups of patients were compared before and after the intervention. Results A total of 97 patients completed the study（48 in the experimental group and 49 in the control group）. After intervention，the self-efficacy score of the experimental group was（81.81 ± 11.53），while the score of the control group was（74.61 ± 7.45），with a statistically significant difference（t=3.646，P<0.001）. Additionally，the self-management score of the experimental group was（57.40 ± 2.40），while the score of the control group was（49.17 ± 4.44），with a statistically significant difference（t=11.379，P<0.001）. Besides，the fasting blood glucose and glycated hemoglobin values in the experimental group were lower than those in the control group（P<0.05） after the intervention. Conclusion The exercise intervention program constructed in this study can effectively enhance the self-efficacy，self-management ability，and blood sugar control level for patients with type 2 diabetes.

Select

Influencing factors of pulmonary rehabilitation benefit in older patients with stable chronic obstructive pulmonary disease LIANG Mengyao, FENG Li 2024, 21 (5):  593-598.  doi: 10.3761/j.issn.1672-9234.2024.05.014 Abstract ( 262 )   HTML ( 0 )   PDF (776KB) ( 6 )   Save Figures and Tables | References | Related Articles | Metrics Abstract To understand the current situation of pulmonary rehabilitation benefits in stable older COPD patients and analyze its influencing factors so as to provide reference for clinical promotion of pulmonary rehabilitation benefits in patients. Methods Retrospective collection of clinical data was carried out in 173 stable COPD patients who completed lung rehabilitation courses in a tertiary hospital of Nantong City from August 2020 to April 2023. Based on the changes in 6-minute walk test and St. George’s Respiratory Questionnaire（SGRQ） scores before and after participating in lung rehabilitation courses，patients were divided into benefit group and non-benefit group. Logistic regression analysis was used to analyze the influencing factors of lung rehabilitation benefits for patients. Results Among 173 patients who completed lung rehabilitation courses，93（53.76%） achieved benefits. Logistic regression analysis showed that age（OR=0.921），baseline 6-minute walk test（OR=0.976），baseline SGRQ score （OR=1.221），self-efficacy（OR=1.381），and comorbid osteoporosis（OR=0.406） were the influencing factors for pulmonary rehabilitation benefits in stable older COPD patients（P<0.05）. Conclusion Stable COPD patients have a lower rate of pulmonary rehabilitation benefits，and patients with poorer the baseline 6-minute walk test results， higher baseline SGRQ score and good self-efficacy are more likely to experience pulmonary rehabilitation benefits. The older in age and combined with osteoporosis hold higher the risk of not benefiting from pulmonary rehabilitation. Clinical medical staff need to consider the factors that affect the benefits of pulmonary rehabilitation interventions for patients，improve the intervention plan to promote the recovery of the patients.

Clinical Practice

Select

Barrier factors analysis of the best practice for the prevention and management of medical adhesive related skin injuries in adult ICU patients GU Mengqian, HUANG Yidan, HUANG Lanhui, YANG Shiyi, WU Haizhen, ZOU Junjun, YU Jiaxian 2024, 21 (5):  599-605.  doi: 10.3761/j.issn.1672-9234.2024.05.015 Abstract ( 296 )   HTML ( 0 )   PDF (947KB) ( 7 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the current clinical status of the prevention and management of medical adhesion-related skin injury in adult ICU patients，identify the obstacle factors in the process of best evidence transformation，and explore the coping strategies. Methods After systematically searching of relevant literature on this topic，the included literature and summarizing evidence were evaluated so as to establish review criteria and determine target values through consensus meetings. The baseline review was carried out，and the barrier analysis was explored based on the review results. Results A total of 29 evidences were selected for conversion，27 indicators were developed，and only 3 indicators achieved the target value. At the reform level，the main obstacles were the lack of relevant nursing system and process，the need to adjust original working procedures，and the impact on inherent way of thinking of nurses. The main barriers at the change recipient level were nurses’ resistance to increased workload，lack of knowledge and skills，and concern about medical burden of family members. The main obstacles at the organizational environment level included the lack of incentive，support and feedback mechanisms，and the field environment needs to be improved. Conclusion The analysis of obstacles to the process of evidence-based practice are helpful in identifying the resistance to change accurately，formulating improvement strategies centered on change，changing recipients and organizational environment，integrating the change into the work process and management system，and establishing effective incentive and feedback mechanisms to improve organizational environment. Ultimately，the best evidence will be translated into clinical practice.

Select

Incidence and influencing factors of kinesiophobia in patients with coronary disease:a meta-analysis SHEN Yushan, LIU Feng, CHEN Mengling, YOU Junjie, LIU Bo, ZHENG Silin 2024, 21 (5):  606-612.  doi: 10.3761/j.issn.1672-9234.2024.05.016 Abstract ( 339 )   HTML ( 2 )   PDF (915KB) ( 6 )   Save Figures and Tables | References | Related Articles | Metrics Objective To systematically review the incidence and influencing factors of kinesiophobia in patients with coronary disease. Methods The databases including PubMed，Cochrane Library，Web of Science，Embase，CINAHL，CNKI，CBM，WanFang Data and VIP were searched from the date of their inception to September 2023. Studies were retrieved including cross-sectional studies，cohort studies or case-control studies reporting associated factors of kinesiophobia in patients with coronary disease. After that，two researchers independently screened the literature and performed quality evaluation and data extraction. Stata 16.0 was used for Meta-analysis. Results A total of 27 articles were included，covering 6 051 respondents. The detection rate of kinesiophobia was 64%[95%CI（0.54， 0.73）]. Gender（OR=3.387），self-efficacy score（OR=0.697），cardiac function rating（OR=2.381），self-perceived burden score（OR=1.555），pain score（OR=1.352），duration of disease（OR=0.701），heart failure was combined（OR=2.065），psychological resilience（OR=0.513），and anxiety score（OR=1.189） were found to be the influencing factors of kinesiophobia in patients with coronary disease（P<0.05）. Conclusion The incidence of kinesiophobia in patients with coronary disease is high. Sociodemographic factors，disease-related factors，and psychological factors are the main factors of kinesiophobia in patients with coronary disease. Health care providers should identify high-risk individuals for kinesiophobia as early as possible based on these factors，develop and implement targeted interventions to reduce the occurrence of kinesiophobia in patients with coronary heart disease and mitigate its adverse effects on these individuals.

Select

The best evidence summary on management of primary malposition in adult patients with peripherally inserted central catheter/arm port ZHU Songying, TAN Ran, GAO Wei 2024, 21 (5):  613-619.  doi: 10.3761/j.issn.1672-9234.2024.05.017 Abstract ( 290 )   HTML ( 2 )   PDF (968KB) ( 10 )   Save Figures and Tables | References | Related Articles | Metrics Objective To evaluate and summarize the best evidence on the management of primary malposition in adult patients with PICC/arm port，and to provide a reference for clinical staff to identify，prevent and treat primary malposition in adult PICC/arm port. Methods The evidence on management of primary malposition in adult PICC/arm port from international guideline websites，websites of academic societies or institutions，and electronic databases were systematically searched. The retrieved evidence included clinical decision-making，best practice，guidelines，systematic reviews，evidence summaries and expert consensuses. The search time limit was set from inception to December 31st，2023. After that，two researchers evaluated the quality of the literature and extracted the data. Results A total of 13 articles were included in this study，including six clinical practice guidelines，two evidence summaries and five expert consensuses. Finally，39 recommendations were summarized in three aspects of identification，prevention and treatment. Conclusion This study provides an evidence-based basis for clinical staff to manage primary malposition in adult PICC/arm port. It is suggested that clinical staff should fully consider the clinical situation，combine professional judgment and patient wishes，follow the principle of individualization and apply the evidence to clinical practice prudently.

Select

The relocation experience of the elderly to nursing home:a meta-synthesis YANG Qing, GAO Jing, WU Chenxi, CAI Mingjin, CHEN Xinyu, LI Hang, FU Han 2024, 21 (5):  620-626.  doi: 10.3761/j.issn.1672-9234.2024.05.018 Abstract ( 143 )   HTML ( 1 )   PDF (1107KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To provide an evidence-based basis for nursing staffs to effectively prevent the elderly’s migration stress and help them adapt to living in a nursing institution by systematically reviewing and synthesizing qualitative studies of the elderly’s migration experience. Methods Qualitative researches on the experience of elderly migration to nursing institution for the aged were retrieved from CNKI、VIP、Wangfang Data，SinoMed，Web of Science，PubMed，Embase and CINAHL. The retrieval time was from the establishment of the database to May 2023. The selection，extraction and integration process were conducted independently by two researchers，and the quality of the included articles were evaluated. Meta-integration was carried out by aggregating integration method for qualitative data integration. Results A total of nine studies were included，all of which were rated B in quality evaluation. Thirty-four research results with clear credibility were extracted and eight new categories were formed，which were integrated into four integrated results:the reasons for the elderly to migrate to nursing institutions and their attitudes towards migration；experiencing the impact of relocation to nursing home；the coping style of the elderly during the relocation of nursing home；the needs of the elderly after moving to the nursing home. Conclusion There are various reasons that elderly people migrate to nursing home，and their attitudes toward migration vary. During the migration process，they may experience stress reactions and adopt different ways of adjustment，and present diverse support needs. Managers and nursing staffs of nursing home should have comprehensive understanding of the experience of elderly people moving to pension institutions，and provide a reference perspective to help elderly people with relocation needs adapt to life in pension institutions smoothly.

Review

Select

A scoping review of research on the health information needs of breast cancer patients ZOU Yang, TONG Dongtong, YANG Wenjuan, LIU Min, ZHANG Haiyan, XIE Lunfang 2024, 21 (5):  627-633.  doi: 10.3761/j.issn.1672-9234.2024.05.019 Abstract ( 298 )   HTML ( 1 )   PDF (801KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To provide a scoping review of studies related to the health information needs of breast cancer patients and a reference for relevant studies in the future. Methods The literature on health information needs of breast cancer patients in databases were searched by computer including PubMed，Web of Science，CINAHL，Embase，Cochrane Library，CNKI，VIP，and Wanfang. The search period was set from the establishment of the databases to July 2，2023. After that，the retrieved literature was screened，summarized，and analyzed by two researchers. Results A total of 15 articles were included. Patients had the information needs about treatment，basic knowledge of the disease，rehabilitation and health care，and psychosocial health，which varied at different stages of disease. Conclusion Future research on health information needs of breast cancer patients should follow the trend of the times，further improve assessment tools，and explore the changing characteristics of information needs of patients at different stages of disease through longitudinal tracking，so as to construct intervention programs to meet patients’ information needs.

Select

Metacognitive ability of nursing undergraduate students:a scoping review YU Zhenwei, BAI Xue, MAO Jing 2024, 21 (5):  634-640.  doi: 10.3761/j.issn.1672-9234.2024.05.020 Abstract ( 310 )   HTML ( 2 )   PDF (801KB) ( 5 )   Save Figures and Tables | References | Related Articles | Metrics Objective To provide references and basis for the cultivation of nursing undergraduate students’ metacognitive ability in China through a scoping review. Methods Based on the scoping review methodology of Arksey and O’Malley，relevant studies on nursing undergraduate students’ metacognitive ability were searched in databases including Web of Science，PubMed，Scopus，Sinomed，CNKI，and Wanfang Data. The search time limit was set from the date of databases’ establishment to December 2023. The literature was screened according to the inclusion and exclusion criteria，and data extraction，content summary，and analysis were conducted on the included literature. Results A total of 28 articles were included，including 15 in English and 13 in Chinese. Currently，there were six tools used to measure the metacognitive ability of nursing undergraduate students. Factors that affect their metacognitive ability could be categorized into four types:personal ability，beliefs and ways of thinking，psychological state，and environment. Additionally，eight measures were identified that could help to improve their metacognitive ability. Conclusion There are numerous measurement tools for metacognitive abilities of nursing undergraduates，though their quality varies. The influencing factors are complex and diverse，while the research perspectives are relatively singular. The effectiveness of intervention measures has not yet been fully demonstrated. In the future，nursing educators should further introduce，develop，and evaluate tools for the measure of metacognitive abilities of nursing undergraduates，comprehensively and systematically analyze the causes and mechanisms of their insufficient metacognitive abilities，and actively explore and practice intervention measures aiming to improve the metacognitive abilities of nursing undergraduates.